TENNESSEE KETAMINE & THERAPEUTICS
NPI 1427844653
Clinic/Center - Mental Health (Including Community Mental Health Center) in Maryville, TN

Active since April 15, 2025
718 W LAMAR ALEXANDER PKWY, MARYVILLE, TN 37801(865) 233-6188 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tennessee Ketamine & Therapeutics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TENNESSEE KETAMINE & THERAPEUTICS (NPI 1427844653) is a healthcare organization registered as a mental health (including community mental health center) in Maryville, Tennessee and active in the NPI registry since April 2025. The organization lists Emma Rothery, Ceo, as its authorized official.

NPPES Registry Identity

NPI1427844653
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameTENNESSEE KETAMINE & THERAPEUTICS
Location Address718 W LAMAR ALEXANDER PKWYMaryville, TN 37801-3943
Mailing Address718 W Lamar Alexander PkwyMaryville, TN 37801-3943 · (865) 304-9622
Organization SubpartNo
Authorized OfficialEmma RotheryCeo · (865) 304-9622
Enumeration DateApril 15, 2025
NPPES CertifiedApril 15, 2025
✔ NPI 1427844653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
718 W LAMAR ALEXANDER PKWY, Maryville, TN 37801

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tennessee Ketamine & Therapeutics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Tennessee Ketamine & Therapeutics, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1295613768
718 W LAMAR ALEXANDER PKWY
Maryville, TN 37801
(865) 233-6188
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1851054050
384 LANCER RD
Harriman, TN 37748
(865) 410-4611
✔ PECOS✔ Accepts Medicare31 mi
Nurse Practitioner
NPI 1033746177
950 MAIN ST
Wartburg, TN 37887
(865) 410-4611
✔ PECOS✔ Accepts Medicare42 mi
Psychiatry
NPI 1356839898
CORNER OF LAMONT ST AND VETERANS WAY
Mountain Home, TN 37684
(423) 926-1171
✔ PECOS✔ Accepts Medicare91 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tennessee Ketamine & Therapeutics's NPI number?

The NPI number for Tennessee Ketamine & Therapeutics is 1427844653. It was assigned to this organization in the NPPES registry on April 15, 2025.

Where is Tennessee Ketamine & Therapeutics located?

Tennessee Ketamine & Therapeutics is located at 718 W Lamar Alexander Pkwy, Maryville, TN 37801. The listed phone number is (865) 233-6188.

What is Tennessee Ketamine & Therapeutics's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Tennessee Ketamine & Therapeutics enrolled in Medicare?

Yes. Tennessee Ketamine & Therapeutics is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tennessee Ketamine & Therapeutics?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Tennessee Ketamine & Therapeutics. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Psychiatry (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tennessee Ketamine & Therapeutics was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.